The role of computed tomography in renal trauma

Journal Article · Sun Nov 01 04:00:00 EST 1981 · Radiology; (United States)

OSTI ID:5797735

Federie, M P; Kaiser, J A; McAninch, J W; Jeffery, B; Mall, J C

Computed tomography (CT) and excretory urography were performed in 15 patients thought to have major renal trauma. In 4 cases, CT demonstrated extravasation of urine not detected by urography, and in all cases parenchymal injuries and extrarenal hematomas were depicted more accurately by CT. CT also proved to be superior to excretory urography in distinguishing relatively minor renal injuries (confusion, incomplete laceration, intrarenal hematoma, small extrarenal hematoma) from major or catastrophic injuries (complete laceration, fracture, shattered kidney), which significantly influenced the choice of surgical or medical therapy. CT also detected concurrent injuries of the spleen, liver, and/or pancrease in 4 cases. The authors feel that CT is valuable in the assessment of major renal trauma.

• Research Organization: Univ. of California, San Francisco
• OSTI ID: 5797735
• Journal Information: Radiology; (United States), Journal Name: Radiology; (United States) Vol. 141:2; ISSN RADLA
• Country of Publication: United States
• Language: English

Related Subjects

550602* -- Medicine-- External Radiation in Diagnostics-- (1980-)
62 RADIOLOGY AND NUCLEAR MEDICINE
BIOLOGICAL MATERIALS
BIOLOGICAL WASTES
BIOMEDICAL RADIOGRAPHY
BODY
BODY FLUIDS
COMPARATIVE EVALUATIONS
COMPUTERIZED TOMOGRAPHY
DIAGNOSIS
DIAGNOSTIC TECHNIQUES
DIGESTIVE SYSTEM
DISEASES
ENDOCRINE GLANDS
GLANDS
KIDNEYS
LIVER
MATERIALS
MEDICINE
NUCLEAR MEDICINE
ORGANS
PANCREAS
PATIENTS
RADIOLOGY
SPLEEN
TOMOGRAPHY
URINE
UROGENITAL SYSTEM DISEASES
WASTES